Organization
EUGENE J NOWAK DO INC
Active
Organization
EUGENE J NOWAK DO INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. EUGENE JAMES NOWAK DO (PRESIDENT)
(619) 420-1840
Entity
Organization
Contact information
Practice address
2440 FENTON ST., 101, CHULA VISTA, CA 91914
(619) 420-1840
(619) 420-9630
Mailing address
PO BOX 210160, CHULA VISTA, CA 91921-0160
(619) 420-1840
(619) 420-9630
Taxonomy
Speciality
Code
Description
License number
State
207ND0900X
Dermatopathology Physician
Primary
20A7103
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00AX71030
—
CA
Enumeration date
03/06/2007
Last updated
08/22/2020
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